Healthcare Provider Details

I. General information

NPI: 1518893098
Provider Name (Legal Business Name): AMANDA COLLINS PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4008 CANAL ST
NEW ORLEANS LA
70119-6021
US

IV. Provider business mailing address

223 N NORMAN C FRANCIS PKWY
NEW ORLEANS LA
70119-5309
US

V. Phone/Fax

Practice location:
  • Phone: 504-681-7030
  • Fax:
Mailing address:
  • Phone: 325-642-1286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11231
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: